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NPI Code Detail

MEDICARE: JEEVAN KUMAR

MEDICARE:   JEEVAN  KUMAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMT208853PA
2207RC0000XCardiovascular Disease Physician308907NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366820078
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEEVAN KUMAR
Provider Business Mailing Address
First Line : 190 MAPLE RD
Second Line :
City : AMHERST
State : NY
Zip : 14221-3129
Country : US
Telephone Number : 972-523-0013
Fax Number :
Provider Business Practice Location Address
First Line : 190 MAPLE RD
Second Line :
City : AMHERST
State : NY
Zip : 14221-3129
Country : US
Telephone Number : 716-580-3810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2015
Last Update Date : 08/23/2022

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Directions to “ JEEVAN KUMAR ” Practice Location

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